The Bethlehem hospital, nicknamed "the Beth" by locals, staff and residents, is a small geriatric hospital in
Wakefield,
West Yorkshire, that is threatened with closure due to
NHS funding cuts. Among the staff who work there are a doctor known simply as Dr. Valentine, and the head nurse Sister Alma Gilpin, who is to be honoured for her service to the Beth with a concert and a medal presentation. A film crew from a local television programme,
Pennine People, is invited to the Beth to document a volunteer-led campaign to save it from closure. They interview staff, residents, and the chairman of the board. At the same time, Colin Colman, a consultant to the
Health Secretary, arrives to visit his father Joe and assess the hospital, having previously recommended its closure. One of the residents, Mary Moss, is discouraged from being interviewed on-camera by the television crew, but Valentine gives her an
iPad and encourages her to document her day-to-day experiences. A frail
incontinent woman named Mrs. Maudsley is admitted to the Beth and initially looked after by Valentine, but tended to by Alma the following night. She is found dead the next morning, and the Beth is threatened with legal action by her daughter and son-in-law, who were due to inherit her home only three months later. During this time, the Beth takes on a work experience student, Andy, and Colin reconnects with his estranged father, the two contemplating Joe's attempts to politically indoctrinate his son. Realising the Beth's importance to not only his father but also the local community, Colin returns to London and passionately defends it in a meeting, storming out after his pleas are ignored by the others present. That night, Andy fails to act in enough time to prevent Joe from soiling himself in his bed. He is tended to by Alma, who makes a reference to his being on "the list". Afraid of what this might mean, Joe calls Colin and confides this fear in him. The next morning, Andy arrives at the Beth with a pack of cigarettes that Joe had requested he get, but finds Joe dead in his bed. The ceremony to honour Alma is due to occur that day; before it starts, Mary takes Valentine to one side and shows him a video she took of Alma tending to Mrs. Maudsley. Valentine deduces that Alma has been poisoning the most frail residents by lacing their night-time cups of warm milk with
morphine. He alerts the chairman of the Board to this during the ceremony. Alma is jailed for life, and the Beth is closed, with its residents being moved to various other facilities. In an epilogue, Valentine is shown working in an
intensive care unit at the start of the
COVID-19 pandemic, where he encounters Ambrose, one of the Beth's former residents, who dies holding his hand. An exhausted, enraged Valentine leaves the hospital and
breaks the fourth wall with an impassioned monologue in defence of the NHS. == Cast ==